STEPHANIE KACIK (Credential# 1250421) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEPHANIE KACIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058889. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 46 Tower Rd, West Haven, CT 06516-7160. The current status is active.
| Licensee Name | STEPHANIE KACIK |
| Credential ID | 1250421 |
| Credential Number | CSP.0058889 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
46 Tower Rd West Haven CT 06516-7160 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1147247 | 10.110527 | Registered Nurse | 2013-03-12 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 1245142 | 12.005954 | Advanced Practice Registered Nurse | 2014-10-14 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 846517 | 70.006784 | Emergency Medical Technician | 2006-01-30 | 2006-01-30 - 2007-12-31 | INACTIVE |
| Street Address | 46 TOWER RD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-7160 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward M Marchitto | 40 Tower Rd, West Haven, CT 06516-7160 | Emergency Medical Technician | 2018-07-03 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Chu Do | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2008-03-20 ~ 2009-02-28 |
| Stephanie M Yang | 771 Mix Ave # D, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stephanie Kramer | 13 Timmins Rd, Bow, NH 03304-4208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie T Borey Od | P. O. Box 6, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Zhu | 100 Evergreen Dr, Stratford, CT 06614-4431 | Controlled Substance Registration for Practitioner | 2020-05-29 ~ 2021-02-28 |
| Stephanie A Birn | 140 Northrop Rd, Woodbridge, CT 06525-1744 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Paine | 97 Richards Ave, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2019-05-24 ~ 2021-02-28 |
| Stephanie L Esposito | 9 Kew Gardens, Farmington, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Kilburn | 312 Farmington Ave, Bristol, CT 06010-3906 | Controlled Substance Registration for Practitioner | 2019-08-20 ~ 2021-02-28 |
| Stephanie Rowe Do | 887 Bridgeport Ave., Selton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEPHANIE KACIK.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).